The challenge
A girls’ health emergency
More than half of Nigeria’s population is aged under 24. Girls and young women aged 15-24 in Nigeria face disproportionately high levels of sexual and gender-based violence, unintended pregnancy and HIV – a triple threat that locks them out of education and opportunity. The pregnancy rate among adolescent girls in Nigeria is one of the highest globally, while the use of contraceptives among this age group is extremely low at under 5%. Girls aged 15-24 also account for a significant portion of new HIV infections.
1
in
5
girls aged 15-19 become pregnant or have already had a child.
8
x
girls and young women aged 15-24 are eight times more likely to contract HIV infections than boys of the same age.
1
in
3
girls experience sexual violence before turning 18
Early marriage, poverty and lack of sexual health education contribute to this urgent crisis, resulting in high levels of domestic violence, school dropouts, unsafe abortions and pregnancy-related health risks, including maternal deaths. Weak protection systems and cultural norms compound the crisis. Health services are not designed for girls of this age, who are discouraged to seek care out of fear of judgement, lack of privacy, prohibitive costs and inadequate information.
Our solution
Free, accessible healthcare close to home
We are implementing our technology-powered model of integrated health provision for vulnerable girls living in deprived urban and semi-urban areas. Tiko’s network of local public and private hospitals, community-based organizations, pharmacy outlets, proprietary and patent medicine vendors (PPMVs), and participating shops are located in areas closest to where girls at high risk of the triple threat live.

Embedded in community for sustainability
Our community-based partners recruit and train young people living in these communities as peer mobilisers. They in turn identify girls and, as trusted companions, support them to navigate and access quality, confidential and safe health services.

Public-sector partnerships
In 2025, in partnership with the Federal Ministry of Youth Development, Tiko launched the national Yo! Health Initiative, a government-led campaign aimed at prioritising young people’s health and wellbeing. We work in collaboration with the Federal Capital Territory Primary Healthcare Development Board, and we have also signed a co-financing agreement with Nasarawa State Government to strengthen adolescent health programming.
Explore our ecosystem approach
Tiko connects girls to a no-cost, integrated ecosystem of healthcare and support, designed around their lives. The ecosystem consists of peer mobilisers, community-based organizations, health providers and retailers who are all connected to the Tiko platform to give girls access to family planning, HIV prevention and treatment, sexual violence screening and support, and health products.
Where we work
Rapidly scaling to meet girls’ needs
We work with local health providers, community-based organizations and retailers in some of the most deprived areas of Abuja Municipal Area Council (AMAC), Bwari and Kuje area councils in the Federal Capital Territory, and Lafia, Nasarawa Eggon, Akwanga, Keffi and Karu local government authorities in Nasarawa State. In many of these districts, girls living in single parent households, girl-headed households, or in informal housing are particularly at risk of the triple threat.
Impact
Our impact in numbers in 2025
37,737
girls impacted
74,824
total services accessed
34,993
contraceptive services provided
35,817
HIV tests delivered
By 2030, we aim to impact
600,000
girls per year in Nigeria
Girls’ stories
New beginnings for girls
Itopa’s path towards a career in healthcare
After her studies, Itopa dreams of becoming a nurse – a dream that feels more real now since connecting with…
Read MorePromise’s blueprint for securing her future
As Promise gains more awareness about her health, she grows in confidence and creativity in other areas of her life.
Read MoreRead our evidence briefings
Boosting equitable contraceptive uptake among Adolescent Girls and Young Women (AGYW) in Addis Ababa: Insights from an evaluation of Tiko’s SRH programme
Since January 2022, Tiko, supported by the Embassy of the Kingdom of the Netherlands (EKN), has worked to increase access to high-quality, youth-friendly family planning services by adolescent girls and young women (AGYW) aged 15–24 across 11 sub-cities of Addis Ababa
Enhancing Access to Integrated Health Services by Adolescents and Young People through the Tiko Platform
Adolescents and young people (AYP) aged 15-24 in Uganda face significant barriers to accessing sexual and reproductive health (SRH), HIV, and mental health (MH) services due to social stigma, limited service integration, and economic challenges
Impact of the Tiko Platform on Tiko-Integrated and Non-Integrated Facilities: The case of Kampala, Uganda
The Tiko Platform is revolutionizing sexual and reproductive health (SRH) service delivery by integrating digital tools that enhance accessibility, streamline data management, and improve service delivery.
Read our insights
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A promising blueprint for maternal and child health
Breaking the cycle – how group antenatal care is transforming adolescent girls’ and child health in Kenya
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Ten things we can learn about the role of AI in revolutionising community-centred public health reforms
Key takeaways from our all-women panel discussion ‘From Promise to Dignity: Powering Human-Centred Care with AI’ hosted by Tiko at the 2025 Global Digital Health Forum
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Standing with girls against sexual and gender-based violence
Violence forces girls out of school, fuels unintended pregnancies and increases vulnerability to HIV. Why addressing SGBV is a key pillar of tackling the triple threat.
Contact our Nigeria team







